Sun­beam ‘work­ing to­wards com­pli­ance’ at Bray cen­tres

HIQA RE­PORTS IDEN­TI­FIED IS­SUES AT RES­I­DEN­TIAL FA­CIL­I­TIES

Bray People - - NEWS - By MARY FOGARTY

HIQA re­ports have been pub­lished on three res­i­den­tial cen­tres op­er­at­ing in the Bray area by Sun­beam House Ser­vice. Sun­beam has no­ti­fied HIQA of its in­ten­tion to close one of those cen­tres, Clara, for ex­ten­sive ren­o­va­tion

In a se­cond cen­tre, the sys­tems for the qual­ity and safety of care, in­clud­ing risk as­sess­ments, re­quired im­prove­ment. The provider’s over­sight, gov­er­nance and man­age­ment ar­range­ments of an­other cen­tre re­quired ur­gent re­view to en­sure that the as­sessed needs of res­i­dents were pro­vided for at all times in an ef­fec­tive and timely man­ner.

CEO of Sun­beam House Ser­vices Hugh Kane said that the or­gan­i­sa­tion is work­ing ex­tremely hard to­wards com­pli­ance. He said that there have been vast im­prove­ments.

‘If some­thing is non-com­pli­ant we fix it as soon as we pos­si­bly can. There and then if pos­si­ble,’ he said, adding that the na­tional av­er­age is 70 per cent com­pli­ant, which Sun­beam now ex­ceeds. ‘Sun­beam pays re­ally se­ri­ous at­ten­tion to th­ese mat­ters,’ said Mr Kane.

He said that last year their com­pli­ance rate was at 69 per cent, and is now back to over 80 per cent. He said that many of the is­sues iden­ti­fied in the re­ports have been re­solved al­ready.

The four-bed­room Clara house pro­vides respite breaks for clients, who told in­spec­tors that they en­joy their time there. Man­age­ment told HIQA that they are mov­ing to a new lo­ca­tion. That premises didn’t have enough ar­eas for sleep­ing with the sit­ting room be­ing used for staff sleep­ing ar­eas in the evening. Staff will now have two sep­a­rate ar­eas for sleep­ing, leav­ing the sit­ting room and kitchen free at night for res­i­dents.

At Park­nasilla, a res­i­dence for nine adults, the in­spec­tors vis­ited on July 12 and spoke with four res­i­dents.

Res­i­dents re­ported that they liked liv­ing there, were happy with their rooms, had a range of so­cial and learn­ing ac­tiv­i­ties to en­gage in and got on well with staff. They also in­formed the in­spec­tors that they could talk to any staff mem­ber at any time about any is­sue they may have.

To ad­dress non-com­pli­ance is­sues, Sun­beam has agreed to have fire doors in­stalled by Fe­bru­ary 18. They also agreed to ask a man­age­ment com­pany to ad­dress dif­fi­cul­ties with the pa­tio area, and in­stall grip bars at the ex­ter­nal en­trance to aid a client with mo­bil­ity chal­lenges.

To com­ply with premises reg­u­la­tions, they said that the car­pet­ing will be re­placed by Oc­to­ber 31. The kitchen will be re­paired and the counter and miss­ing doors will be re­placed by Oc­to­ber 31.

The provider com­mit­ted to up­date and re­view all risk as­sess­ments.

Du­navon, home to eight clients, was in­spected on June 8.

Some res­i­dents ex­pressed sat­is­fac­tion with as­pects of the ser­vice they re­ceived such as the choice of food op­tions made avail­able to them, some of the ac­tiv­i­ties they were sup­ported to en­gage in to in­clude so­cial out­ings and they way in which they were sup­ported to main­tain pos­i­tive fam­ily re­la­tion­ships.

How­ever, a num­ber of res­i­dents re­ported that the house was too large, too noisy and not al­ways ac­ces­si­ble (to in­clude the back gar­den). Those spo­ken with said they would like to avail of day ac­ti­va­tion ser­vices and would like to have more staff on duty so as they could en­gage in more so­cial ac­tiv­i­ties. The in­spec­tor met briefly with all eight of the res­i­dents and saw that the ground floor of this cen­tre was a noisy and busy en­vi­ron­ment. It did not lend it­self to a homely en­vi­ron­ment, the back gar­den was not eas­ily ac­ces­si­ble for res­i­dents with mo­bil­ity is­sues and the kitchen was not ac­ces­si­ble to res­i­dents at times dur­ing the day.

Staff in­ter­ac­tions with res­i­dents ap­peared pos­i­tive and res­i­dents seemed com­fort­able and at ease in the pres­ence of staff.

The in­spec­tion found that the provider’s over­sight, gov­er­nance and man­age­ment ar­range­ments re­quired ur­gent re­view. They found that some so­cial care ac­tiv­i­ties and health­care ap­point­ments had to be can­celled or re­ar­ranged.

HIQA took the unusual step of is­su­ing the provider with an ur­gent com­pli­ance doc­u­ment di­rectly af­ter the in­spec­tion, re­quir­ing writ­ten as­sur­ance re­gard­ing fire safety pro­ce­dures and staffing ar­range­ments.

The staffing ar­range­ments in place were also im­pact­ing on staffs ca­pac­ity to evac­u­ate res­i­dents from the cen­tre in a safe and timely man­ner dur­ing fire drills. With two staff on duty at night, it was tak­ing up to eight min­utes to evac­u­ate res­i­dents dur­ing fire drills. Many had sig­nif­i­cant sup­port re­quire­ments, and some re­quired staff en­cour­age­ment and prompt­ing.

Staff had no al­ter­na­tive but to leave some res­i­dents un­ac­com­pa­nied at the fire assem­bly point dur­ing fire drills as they both had re-en­ter the house to sup­port other res­i­dents evac­u­ate, the re­port stated.

One res­i­dent was be­ing locked into their bed­room at night time as it was re­ported they would not set­tle other­wise.

Be­cause the kitchen was deemed to be an un­safe en­vi­ron­ment for one res­i­dent, the cen­tre de­cided to pro­hibit all res­i­dents from en­ter­ing or us­ing their own kitchen for cer­tain pe­ri­ods of time ev­ery day.

In­spec­tors found that the gar­den was not ac­ces­si­ble for res­i­dents, who ex­pressed dis­sat- is­fac­tion with this is­sue.

Sun­beam has em­ployed two part time re­lief staff and three ex­ist­ing staff mem­bers had their con­tracted hours in­creased, thereby in­creas­ing 1:1 hours with res­i­dents.

They com­mit­ted to meet­ing all ap­point­ments and said that no ap­point­ment will be can­celled due to staffing.

A re­view is un­der way to al­lo­cate some day ser­vice hours to the cen­tre. The ac­ces­si­bil­ity of the back gar­den is un­der re­view and works are planned to make this area freely avail­able to all res­i­dents. A ski pad has been pur­chased and train­ing im­ple­mented, as an al­ter­na­tive way of evac­u­at­ing.

Ex­tra staff sup­port has been pro­vided to as­sist with fire evac­u­a­tion at night-time. A third staff mem­ber is avail­able from the near­est cen­tre to sup­port evac­u­a­tion (with­out im­pact­ing the op­er­a­tion of that cen­tre). This staff mem­ber will sup­port the res­i­dents out­side at the fire assem­bly point and the evac­u­a­tion will con­tinue with the staff al­lo­cated to this cen­tre.

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